Fellowship Program in Gastroenterology and Hepatology at OHSU
- Application Process
- Curriculum
- Typical Weekly Schedule
- Faculty
- Frequently Asked Questions
- Clinical Facilities
- Portland and Oregon
- Portland Facts
Thank you for your interest in the fellowship training program in Gastroenterology at Oregon Health & Science University. Our goal is to provide you with an outstanding education in both Gastroenterology and Hepatology in a collegial, supportive and academically challenging environment. In the sections below, we have provided you with an overview of our division and curriculum. You will also find an example of a typical schedule and answers to commonly asked questions. Additionally, we have included some information about our affiliated hospitals, and information on the city of Portland and the state of Oregon.
If after reviewing our website you find you need additional information or would like to request an application to our program, send your request to gifellow@ohsu.edu
Sincerely,
Kandice L. Knigge, MD
Program Director
We currently have two fellowship positions available for the 2008-2009 academic year.
OHSU is registered to participate in the Electronic Residency Application Service (ERAS). Please go to www.aamc.org/students/eras to find application information. ERAS will accept electronic applications as of November 15, 2006.
ERAS uses the Common Application Form (CAF). Your curriculum vitae is automatically generated as you fill out your application. You do not need to attach an additional CV. Our program requests the following supporting documents:
- Personal Statement. Outline your interests in GI/Hepatology. Include a description of your career goals after the completion of your fellowship training.
- Three letters of recommendation
- One letter from the Chief of Service or Internal Medicine Program Director
- Medical School Transcript
- USMLE Scores
- Photograph (optional but recommended)
Our program participates in the National Residency Matching Program (NRMP) for Gastroenterology. No applications will be accepted outside of the Match. Please visit the NRMP web site at www.nrmp.org for more details.
The NRMP will begin accepting on-line enrollment for programs and applicants on January 4, 2007. Applicant interviews will be scheduled from February to April. Applicants and institutions will submit rank order lists by the beginning of June and final match notification will be sent on June 21, 2007.
Please contact us at gifellow@ohsu.edu for further information about our fellowship program.
We look forward to your application.
Sincerely,
OHSU
GI Fellowship Program
Oregon
Health & Science University
Division
of Gastroenterology, L461
GI Fellowship
Program
Attn: Meighan Harrison
3181
SW Sam Jackson Park Road
Portland,
OR 97239
The fellowship program consists of a total of six fellows, two in each of the three years. The first year primarily entails inpatient clinical responsibilities on the consultative services at OHSU and the Portland VA Medical Center. While on the GI Consult Service, the fellow is part of a team that includes a GI attending and medical resident. The team is responsible for performing GI consultations for patients on the medical and surgical services. The duties of the fellow include the supervision and direction of the service, and the instruction of the housestaff and students in basic aspects of Gastroenterology. The fellow is supported by full time faculty membe rs who serve as resources for any questions, problems or procedures that are required day or night. In addition, for the first month, the first-year trainee is accompanied by a second-year fellow to help him/her ease into the new environment. The program is structured to develop strong bonds between the fellows and faculty members, resulting in the best teaching and patient care possible.
The first year fellow will obtain extensive experience in diagnostic and therapeutic upper and lower endoscopic procedures. Emphasis is placed on the appropriate application of endoscopy as well as attainment of technical skills. During the first two months, a series of didactic lectures are given by the GI faculty on approaches to basic GI problems (i.e. GI bleeding, peptic ulcer, jaundice, inflammatory bowel disease, hepatitis, etc) which serve as an introduction into the subspecialty. The first-year fellows will also spend a total of two outpatient months at Kaiser Per manente a a consulting Gastroenterologist to obtain experience in the private practice of Gastroenterology.
The second and third year of fellowship allow for more time to pursue scholarly activities that are a mandatory part of the program requirements. These may include participation in research projects, presentations at national and international Gastroenterology meetings and journal publications. Each fellow is encouraged to align him/herself with one of the faculty members and participate in research on a topic of joint interest. There is less emphasis on consult rotation s. In the latter part of the third year, the fellow serves as the attending on the GI consult service at the University. This is an experience unique to our program and a significant confidence builder before entering the “real world”.
The fellows attend a number of conferences both within the Division and the Department of Medicine. The fellows rganize and present a weekly Medical-Surgical conference along with surgeons, radiologists and pathologists. A second weekly conference allows for topics in pathology, hepatology, clinical nutrition and hepatobiliary disease. Every Friday morning, there is a research conference during which research topics and meeting presentations are discussed. There is also training in the critical review of the medical literature. An outstanding medical school library, internet/literature search access, courses and seminars in the basic sciences, statistics and public health courses are also available.
Additionally, several visiting professor programs are arranged each year. This involv es having nationally and internationally renowned academic Gastroenterologists from other institutions visit our program for one to two days. During this time, he/she presents didactic lectures and seminars on research or clinical topics with the fellows, medical residents, and s taff.
The Gastroenterology training program is designed to be flexible and provide access to the program director and faculty. It is our goal to produce thoughtful, well-rounded, knowledgeable clinicians.
| MONDAY | 7:30 am Work rounds with the resident 8:30 am Endoscopy (first-year fellows) 1:00 pm Staff consultation rounds |
| TUESDAY | 7:30 am Work rounds with the resident |
| WEDNESDAY | 7:30 am Work rounds with the resident 8:30 am Endoscopy (second/third-year fellows) 9:00 am Hepatology Clinic (second/third-year fellows) 1:00 pm Staff consultation rounds 1:00 pm PVAMC Gastroenterology Clinic (VA Fellow) |
| THURSDAY | 7:30 am Work rounds with the resident 8:30 am Endoscopy (first-year fellows) 9:00 am Hepatology clinic (second/third-year fellows) 1:00 pm Staff consultation rounds 4:30 pm Journal Club |
| FRIDAY | 7:30 am Fellows Research Conference 8:30 am Endoscopy (first-year fellows) 9:00 am Liver Transplant Clinic (second/third-year fellows) 1:00 pm Department of Medicine M&M Conference 2:00 pm Staff Consultation Rounds |
David A. Lieberman, MD
Professor of Medicine
Chairman, Division of Gastroenterology/Hepatology
Undergraduate education: University of Michigan
MD: University of Michigan
Residency/Chief Residency: OHSU
GI Fellowship: OHSU
Research interests: Colon cancer screening, Barrett's esophagus, Outcomes in endoscopy
M. Brian Fennerty, MD, FACG
Professor of Medicine
Section Chief, Gastroenterology, OHSU
Undergraduate education: University of New York, Albany
MD: Creighton University
Residency: Naval Hospital, San Diego
GI Fellowship: Arizona Health Sciences Center
Research interests: Gastroesophageal reflux disease, Helicobacter pylori, Barrett's esophagus, Pharmacoeconomics, Outcomes Research
Judith F. Collins, MD
Associate Professor of Medicine
Section Chief, Gastroenterology, Portland VAMC
Medical Director, Inflammatory Bowel Disease Clinic
Undergraduate education: Duke University
MD: Medical University of South Carolina
Residency: Medical University of South Carolina
GI Fellowship: OHSU/UCLA
Research interests: Inflammatory bowel disease, Colonic neoplasia
Glenn Eisen, MD MPH
Professor of Medicine
Co-Director, Clinical Outcomes Research Initiative (CORI)
Undergraduate education: University of Virginia, Charlottesville, VA
MD: Albert Einstein College of Medicine, Bronx, NY
Residency/Chief Residency: Mount Sinai Medical Center, NY, NY
GI Fellowship: Duke University Medical Center, Durham, NC
Douglas O. Faigel, MD
Professor of Medicine
Director, Endoscopic Ultrasound Program
Director, Gastrointestinal Endoscopy Unit
Undergraduate education: Harvard College
MD: University of Pennsylvania
Residency: University of California, San Francisco
GI Fellowship: University of Pennsylvania
Research interests: EUS, pancreatic cancer, capsule endoscopy, GI stromal tumors, NOTES (Natural Orifice Translumenal Endoscopic Surgery), quality assurance
Ronald M. Katon, MD
Professor of Medicine
Director, Gastroenterology Diagnostic and Therapeutic Unit
Undergraduate education: University of Vermont
MD: Chicago Medical School
Residency: OHSU
GI Fellowship: OHSU
Research interests: Ultrathin endoscopy, Variable stiffness colonoscopy, Argon beam endoscopic, therapy, Biliary/pancreatic endoscopy
Kandice L. Knigge, MD
Associate Professor of Medicine
Director, Gastroenterology Fellowship Program
Co-Director, Inflammatory Bowel Disease Clinic
Undergraduate education: Stanford University
MD: University of Utah
Residency/Chief Residency: University of Washington
GI Fellowship: OHSU
Research Interests: Inflammatory Bowel Disease, Colorectal Cancer
Willscott Naugler, MD
Assistant Professor of Medicine
Undergraduate education: Rhodes College, Memphis, TN
MD: University of Arkansas for Medical Sciences
Residency/Chief Residency: Barnes Hospital, Washington University, St Louis, MO, OHSU
GI Fellowship: University of California at San Diego
Research Interests: Liver regeneration, liver support systems, liver cancer
Betsy Rodriguez, MD
Assistant Professor of Medicine
Undergraduate education: Transylvania University, Lexington, KY
MD: University of Kentucky
Residency: OHSU
GI Fellowship: OHSU
Research Interests:
Anna W. Sasaki, MD, PhD
Associate Professor of Medicine
Director of Nutritional Support, PVAMC, OHSU
Undergraduate education: University of Delaware
MD: Jefferson Medical College
Residency: Wilmington Medical Center
PhD: University of Delaware
GI Fellowship: Uniformed Services University of the Health Sciences
Research interests: Nutrition in end-stage liver disease, Hepatitis C, molecular predictors of progression from cirrhosis to hepatocellular carcinoma, developing optimal care strategies for patients on interferon therapy
Jonathan M. Schwartz, MD
Associate Professor of Medicine
Medical Director, Liver Transplantation
Medical Director and co-founder, Multidisciplinary Liver Cancer Group
Undergraduate education: Brandeis University
MD: Tel Aviv University, Sackler School of Medicine (NYS Program)
Residency: Albert Einstein College of Medicine
GI Fellowship: University of Washington
Research interests: Liver Cancer, Chronic Liver Diseases
Amnon Sonnenberg, MD, MSc
Professor of Medicine
MD: University of Bonn, Germany
Residency: University of Dusseldorf, Germany
GI Fellowship: Triemli Hospital, Zurich, Switzerland
Atif Zaman, MD, MPH
Associate Professor of Medicine
Associate Professor of Public Health and Preventive Medicine
Undergraduate education: Boston University
MD: Tufts University
Residency: Baylor College of Medicine
GI Fellowship: OHSU
Research interests: Portal hypertension, Endoscopic Research, Gastrointestinal hemorrhage, Outcomes Research, Epidemiologic Research, Hepatitis C
Answers to commonly asked questions:
1. Rotational assignments:
| Year | Service | Duration |
| 1st | Clinical Service | 8 months |
| HMO experience (Kaiser) | 2 months | |
| Research |
2 months |
|
| 2nd | Clinical Service | 3 months |
| HMO experience(Kaiser) | 2 months | |
| Hepatology | 3 months | |
| Research |
4 months |
|
| 3rd | Clinical Service | 3 months |
| HMO experience(Kaiser) | 2 months | |
| Hepatology | 3 months | |
| Research | 4 months | |
| Attending on OHSU Consult Service | 1 month |
2. The attending staff supervises all GI consultations and endoscopic pro
cedures.
3. RESEARCH - two months exposure in first year, four months in second year, and four months in third year. Introduction to statistics, research design and outcome analysis. Critical review of literature. All fellows meet with Dr. Zaman, to explore research opportunities, and are monitored as to their productivity. Total Research time is 10 months.
4. HEPATOLOGY - three-month rotation in each of the second and third years. Regional hepatology and liver transplant service with exposure to acute and chronic liver disease and participation on the Liver Transplant Service. Total Hepatology time is 6 months.
6. FLEXIBILITY - there is flexibility in the third year schedule which can allow for increased experience and length of time committed in Hepatology or special research projects.
7. SPECIAL FEATURE - assignment of a fellow during his/her third year of training to be the attending faculty on the University GI Consulting Service.
8. PRIVATE PRACTICE EXPOSURE-unique exposure to large volume ambulatory care experience with the fellow functioning as a full consultant in an HMO setting, being exposed to cost-effective and managed care principles.
9. ELECTIVES -
10. Weekly conferences
- GI-Surgery Conference
- GI-Radiology-Surgery Oncology Conference
- Liver/endoscopy/nutrition/pathology Conference
- Research Conference
11. Participation as instructor in sophomore GI Pathophysiology course for medical students.
12. Call schedule for 1st and 2nd year fellows: average every fourth night and fourth weekend. Call is taken from home. 1st and 2nd year fellows arrange their own call schedule, to allow for flexibility
3rd year fellows: weekend call approximately every 6-8 weeks, and weekday call only during the month as GI consult attending
13. Salary (2005-2006):
- 1st year (PGY-4): $ 47,240
- 2nd year (PGY-5): $49,485
- 3rd year (PGY-6): $51,835
OHSU Hospital
OHSU provides the most comprehensive complement of health care services in the state in its four clinical care units: OHSU Hospital, Doernbecher Children's Hospital, OHSU Clinics (medical and dental), and Child Development and Rehabilitation Center.
The OHSU hospitals and clinics are Oregon's main clinical teaching facilities for the next generation of health care professionals. Patients come from as far away as Alaska; but most of those cared for (93 percent) come from Oregon. Patients from every county in Oregon were cared for at OHSU last year (46 percent from outside Multnomah County). OHSU and Doernbecher Children's Hospitals have 349 operating beds.
The U.S. News and World Report annual nationwide survey has consistently placed OHSU Hospital in America's top three percent of the specialties such as AIDS, cancer, cardiology, endocrinology, geriatrics, gynecology, neurology, otolaryngology, rheumatology and urology. OHSU Hospital is the only Oregon hospital cited in this top echelon.
In addition to providing primary and secondary care services to residents of the Portland area, OHSU Hospital is a major tertiary referral center, particularly in areas of transplantation (kidney, heart, liver, lung, bone marrow), cardiology, oncology, trauma, interventional radiology, obstetrics and ophthalmology. Ancillary services are excellent, including IV transportation and phlebotomy services.
Veterans Affairs Medical Center
The Veterans Affairs Medical Center, a modern 490-bed facility, serves Oregon and Southern Washington and acts as a referral center for Idaho, Alaska and Northern California. The medicine, radiology, surgery, pathology, nuclear medicine and psychiatry services are fully integrated with OHSU programs. Each member of the medical staff at VAMC is a full-time faculty member at OHSU. Because OHSU Hospital and VAMC are adjacent and connected by a sky bridge, continuous exchange of attending staff exists between the hospitals. There are seven inpatient services: Five services in general medicine, oncology and a combined CCU/ICU. The cardiology department maintains a fully equipped, centrally monitored coronary care unit and echocardiographic, angiographic, electrophysiologic and hemodynamic laboratories. A multi-disciplinary medical intensive care unit maintains nine beds and a closely associated pulmonary laboratory. Ancillary services include an IV team, a transportation service and twice-a-day phlebotomy. There are health care technicians, who are hired to assist residents on nights and weekends with a variety of patient care activities, such as phlebotomy, IV starts and passage of nasogastric tubes.
An active ambulatory care service, made up of initial evaluation and emergency care centers, as well as longitudinal clinics, is a major component of the training program. In addition there is a high volume short stay care and complex diagnostic unit that has helped obviate many admissions and facilitates outpatient diagnosis and management of complex problems.
In the fall of 1992, the pedestrian sky bridge connecting OHSU Hospital with VAMC was completed. Separated by a deep ravine, the previous walking distance between the two facilities was nearly one mile. The bridge has greatly shortened this trip and further facilitated conference and clinic attendance, as well as offering spectacular views of Mt. Hood, Mt. St. Helens, Mt. Adams and the city of Portland.
With a population of more than 1.5 million in the greater metropolitan area, Portland is a major cultural center in the Pacific Northwest. Portlanders enjoy the Oregon Symphony, the Portland Opera, the Oregon Ballet Theater, a wide selection of art museums, galleries and live theater. It serves as a second home for the Oregon Shakespeare Festival, based in Ashland, Oregon. Famous for its addiction to books, Portland has numerous excellent book stores, including Powell's with its 500,000-plus volumes the largest in the western United States. In addition, Portland features its own professional basketball, baseball, indoor soccer and ice hockey teams.
Portland contains 7,500 acres of parkland in 160 locations, including Forest Park, the largest urban wilderness area within any U.S. city. The Pacific Ocean is 80 miles to the west and the Columbia Gorge, Mount Hood, the Cascade Mountains and millions of acres of national forest are within one to two hours drive from the city. Recreational opportunities (summer and winter) are limitless.
The Portland metropolitan area enjoys a strong diversified economy. Due to model land use laws, growth in Portland and Oregon is rational and controlled. Because of excellent planning and the TriMet public transportation system, which includes a modern light rail line, traffic congestion is modest compared to other cities.
Due to a steady growth in the population and other secular trends in medical care (e.g., managed health care), there is a great demand in the Northwest for physicians trained in internal medicine. Excellent opportunities exist in all urban, suburban, and rural areas of Oregon and Washington. In addition, excellent opportunities exist in Alaska, and the nearby intermountain states (Idaho, Wyoming, Montana).
Climate
Mild, with temperatures averaging 66 degrees in the summer and 38 degrees in the winter. The area gets approximately 37 inches of precipitation a year, most of which is rain. While Portland does get snow it is seldom more than a couple inches a year and rarely lasts more than one or two days.
Outdoor Recreation
Camping, fishing, hiking, river rafting, biking, skiing, wind surfing, and kite flying, all within an hour's drive from the city. Portland has 9,400 acres of parks, including the smallest park in the world (Mill Ends Park) and the largest urban wilderness (Forest Park).
Sports
The metropolitan area offers many spectator sports, from the NBA's Portland Trail Blazers to the WHL's Portland Winter Hawks . There are also running events, bicycle and car races, pro/am golf tournaments, horse and greyhound dog racing and more.
Culture
Portland hosts numerous art galleries and museums. It also boasts a world-class symphony, ballet and opera, as well as a number of theater groups and jazz clubs.
Other Attractions
